Additional Request Form (ARF) - F

Additional Request Form
Customer Information
Branch Branch Code 1 2 3 4 Date D D M M Y Y Y Y
Existing IBAN P K 0 0
Customer Name
Customer No. ID Document # - CNIC/NICOP/Passport/Other
Change in Details
Mailing Address Preference Permanent Residential Work
Permanent House No./Apt. No./Office No./Apt. Name/Office Name
Residential Street No./Name Area/District

Work City Country Nearest Landmark Zip Code
Contact Information Office Home Fax No. Mobile

Signature Update Please update my/our new signature on the account mentioned overleaf Signature Cards Attached Yes No
Account Certificate/Statement
Account Balance Certificate Duplicate Statement of Account Start Date D D M M Y Y Y Y
Account Maintenance Certificate Tax Certificate D D M M Y Y Y Y
End Date
NOC - No Objection Certificates PRC - Proceed Realization Certificate
Debit Card Request

"HBL ID, HBL MoneyClub, HBL Rubta, HBL Haryali etc. accounts will have their standard cards issued to the customers rather than the ones from the card deck.
For Supplementary DebitCard, please complete the Supplementary DebitCard Application Form."
Instruction Type Card Issuance Card Cancellation Card Replacement PIN Replacement Account Linking/Tagging
Select Card World MasterCard Gold MasterCard DebitCard Master Debit Card Visa UnionPay PayPak
Name on Card
Account Linking P K H A B B 0 0
Reason of Issuance New Issuance Loss Incorrect Embossing Theft Damage Expired
Electronic Service/Digital Channels

SMS Alerts Mobile Number* 0 3 0 0 - 1 3 3 4 5 6 7 *Registered mobile number only
E-Statement Email Address** **Upto 35 characters only
E-Statement Frequency Half Yearly Yearly Monthly Daily Non Individual Accounts Only
“I/we hereby confirm and agree to abide by the Terms and Conditions of this eStatement facility as amended from time to time. I/we also agree that with the
activation of eStatement facility the present method of sending Statement of Accounts by courier/post office will be discontinued”
HBL NISA (For Female Account Holders Only)

NISA Tagging De-enroll
Existing Card Cancellation Debit Card No.
For Issuance of NISA Debit Card
NISA UnionPay NISA MasterCard HBL NISA Gold Debit Card HBL NISA USD Debit Card, VISA
HBL Nisa PayPak Asaan Debit Card

Name to be Appear on Card
Activation of In-Active Account

Activation of Dormant Account Copy of Valid CNIC submitted Reason for non-usage of account
Signature of Applicants
Signature/Photograph/Thumb Impression
Primary Applicant Joint Applicant 1 Joint Applicant 2 Joint Applicant 3
Page 1 of 2
Additional Request Form
Account Title Change (Name should be same as per CNIC/Other Identity Document/Constituent Document)
Change Correction Account Title

Signature Cards Attached Yes No
Break Opening of Lockers (Due to Loss of Key)

Key No. Allotted to me for Locker No. has been misplaced/lost. Please issue a new key
Stop Cheque Request

Loss Cheque No. To Amount Favoring
Date of Issue D D M M Y Y Y Y Date of Request D D M M Y Y Y Y Time of Instructions received
Customer Copy Attached Yes No
Standing Instructions
Start Date D D M M Y Y Y Y End Date D D M M Y Y Y Y Amount Frequency
Daily Weekly Fortnightly Monthly Quarterly Half-Yearly Yearly
Beneficiary Account P K H A B B 0 0
Raast - ID Management
Creation Delinking Relinking Raast - ID
Account No. P K H A B B 0 0
Retail Lending Link Account Request

Running Finance Cash Finance Other Account Type
Account Closure
Cheque Book Returned Yes No Cheque From To Reason of Account Closure
Debit Card Surrendered Yes No Card No.

Locker Surrendered Yes No Locker No.
Other Requests/Instructions
Please Specify
Authority and Declaration

I/We hereby authorize HBL to carry out my/our instructions as specified hereinabove in this Additional Request Form, subject to the terms and conditions governing
my/our account(s) with the Bank and my/our subscription of any and all other services and products of the Bank. I/We represent and warrant that the information
given above is true, correct and complete in all respects.
I/We hereby authorize the Bank to debit my/our bank account with the charges applicable on the above service(s) and/or product(s) as per the current Schedule of
Bank Charges. I/We hereby agree and accept to pay these charges.
Signature of Applicants
Signature/Photograph/Thumb Impression
Primary Applicant Joint Applicant 1 Joint Applicant 2 Joint Applicant 3
For Bank Use Only

Approved By Approved By
Date D D M M Y Y Y Y P.A. No. P.A. No.
Customer Slip/Copy
We acknowledged receipt of your request for additional services / IBAN Authorized Signature with Branch Stamp
Account No. P K H A B B 0 0
Date D D M M Y Y Y Y Serial No.
Page 2 of 2

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Additional Request Form (ARF) - F

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Additional Request Form

Residential Street No./Name Area/District

Contact Information Office Home Fax No. Mobile

Debit Card Request

Electronic Service/Digital Channels

HBL NISA (For Female Account Holders Only)

HBL Nisa PayPak Asaan Debit Card

Activation of In-Active Account

Change Correction Account Title

Break Opening of Lockers (Due to Loss of Key)

Stop Cheque Request

Date of Issue D D M M Y Y Y Y Date of Request D D M M Y Y Y Y Time of Instructions received

Customer Copy Attached Yes No

Daily Weekly Fortnightly Monthly Quarterly Half-Yearly Yearly

Retail Lending Link Account Request

Debit Card Surrendered Yes No Card No.

Authority and Declaration

For Bank Use Only

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